Prairie Oncology Management Services Pharmacy

NPI #1689761223 in Decatur, Illinois

Provider Information

NPI Number: 1689761223
Entity Type: Organization
Organization Name: Prairie Oncology Management Services Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Oct 6, 2006
Last Updated: Mar 28, 2016

Practice Location

Address: 210 W MCKINLEY AVE
Address 2: STE 1
City: Decatur
State: Illinois
ZIP Code: 62526-5858
Phone: (217) 329-3239

Authorized Official

Name: MR. CHRISTOPHER W BENNETT, R.PH.
Title: REGISTERED PHARMACIST
Phone: (217) 329-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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